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关于早泄问题,对“油管医生™”所提供信息质量的分析

Analysis of the quality of information provided by "Dr. YouTube™" on premature ejaculation.

作者信息

Singh Swarndeep, Neupane Bastabika, Dhungel Omkar, Sharma Pawan

机构信息

Department of Psychiatry, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India.

Department of Psychiatry, Patan Academy of Health Sciences, School of Medicine, Lalitpur, Nepal.

出版信息

Ind Psychiatry J. 2024 Aug;33(Suppl 1):S36-S44. doi: 10.4103/ipj.ipj_333_23. Epub 2024 Mar 11.

Abstract

BACKGROUND

YouTube is an important online resource to access health-related online information by the public worldwide. However, the quality of information available on it has not been adequately characterized.

AIM

To assess the quality and reliability of information available on the treatment of premature ejaculation (PME) on YouTube in the Hindi and English language videos.

MATERIALS AND METHODS

A total of 151 (Hindi: 109, English: 42) YouTube videos were selected for assessment. The quality was evaluated using structured tools: Patient Education Materials Assessment Tool (PEMAT); and a 5-point modified DISCERN questionnaire (Range: 1-serious shortcomings; 5-minimal shortcomings). PEMAT assesses the understandability and actionability of video as separate percentages.

RESULTS

Three most common treatments suggested for PME were Kegel exercise (22.5%), start-stop technique (21.9%), and antidepressant medications (20.5%). Antidepressant medications, stop-squeeze techniques, and psychotherapy were more frequently suggested in English videos, whereas ayurvedic or herbal medicines were more frequently suggested in Hindi videos. About two-thirds of videos presented information in an easy-to-understand and actionable manner (PEMAT scores ≥70%). Only 6% of videos had a DISCERN score of ≥4, indicating good overall quality of information presented in them.

CONCLUSION

People likely to encounter poor-quality information when seeking information for PME treatment on YouTube. A large number of videos suggested ineffective or unproven treatment strategies for PME. Healthcare professionals need to be mindful of this while counselling patients, and guide them regarding useful and reliable sources of health information available online.

摘要

背景

YouTube是全球公众获取健康相关在线信息的重要在线资源。然而,其上可用信息的质量尚未得到充分描述。

目的

评估YouTube上印地语和英语视频中有关早泄(PME)治疗的信息质量和可靠性。

材料与方法

共选取151个(印地语:109个,英语:42个)YouTube视频进行评估。使用结构化工具评估质量:患者教育材料评估工具(PEMAT);以及一份5分制的改良辨别问卷(范围:1 - 严重缺陷;5 - 最小缺陷)。PEMAT分别以百分比形式评估视频的可理解性和可操作性。

结果

PME最常建议的三种治疗方法是凯格尔运动(22.5%)、开始 - 停止技术(21.9%)和抗抑郁药物(20.5%)。英语视频中更频繁地建议使用抗抑郁药物、停止 - 挤压技术和心理治疗,而印地语视频中更频繁地建议使用阿育吠陀或草药。约三分之二的视频以易于理解和可操作的方式呈现信息(PEMAT得分≥70%)。只有6%的视频辨别得分≥4,表明其中呈现的信息总体质量良好。

结论

人们在YouTube上寻求PME治疗信息时可能会遇到质量不佳的信息。大量视频建议了对PME无效或未经证实的治疗策略。医疗保健专业人员在为患者提供咨询时需要注意这一点,并指导他们了解网上有用且可靠的健康信息来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/11553584/afb0280664a3/IPJ-33-36-g001.jpg

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